Cristina Marie Lopez, MD in Valdosta, GA

Cristina Marie Lopez, MD is a medicare enrolled "Pediatrics" physician in Valdosta, Georgia. Her current practice location is 105 W Cranford Ave, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 247-7350.

Cristina Marie Lopez is licensed to practice in Georgia (license number 103564) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356754097.

Contact Information

	Cristina Marie Lopez, MD
	105 W Cranford Ave, Valdosta, GA 31602-2930
	(229) 247-7350
	(229) 468-0042

Map and Direction

Physician's Profile

Full Name	Cristina Marie Lopez
Gender	Female
Speciality	Pediatrics
Location	105 W Cranford Ave, Valdosta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356754097
Provider Enumeration Date: 06/10/2014
Last Update Date: 06/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6709004831
Enrollment ID: I20170717000971

Medical Identifiers

Medical identifiers for Cristina Marie Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356754097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	103564 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cristina Marie Lopez allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cristina Marie Lopez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cristina Marie Lopez, MD 1 Independence Pointe, Suite 212, Greenville, SC 29615-4536 Ph: (864) 797-6328	Cristina Marie Lopez, MD 105 W Cranford Ave, Valdosta, GA 31602-2930 Ph: (229) 247-7350

Reviews and Comments

Pediatrics Doctors in Valdosta, GA

Thomas L Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730
Irene Murema, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730
Kimberly W Megow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3526 Northcrossing Cir, Valdosta, GA 31602 Phone: 229-241-9500 Fax: 229-241-1047
Corne Maydell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000
Kamela Manantan Camon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Northside Dr Ste M, Valdosta, GA 31602 Phone: 229-241-0059
Robert J Criscuola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3331 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2211 Fax: 229-247-9313

Cristina Marie Lopez, MD - Medicare Pediatrics in Valdosta, GA